Individual
ADDIE MAE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E ELIZABETH ST, SHAWANO, WI 54166-3105
(920) 663-1035
Mailing address
607 E ELIZABETH ST, SHAWANO, WI 54166-3105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8185-125
WI
Other
Enumeration date
01/26/2018
Last updated
01/23/2025
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